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Mississippi Valley

Nursing Home Facility

500 Messenger Road, Keokuk, IA 52632

Nursing Home Care Senior Living
Mississippi Valley

Lexington Square is a 126 bed SNF/ICF facility offering complex medical care and long-term ventilator care.

Mississippi Valley is licensed for 83 beds, about typical for the area, where senior care communities in Lee County average about 67 beds.

Federal reporting puts occupancy at about 69% of its licensed beds. That is below the Lee County average of roughly 79%.

Medicare rates this community 3 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Its most recent standard health inspection was in April 2025 and recorded 1 deficiency.

Residents receive about 5.7 hours of nursing care per day on average, including 1.6 hours from a registered nurse. Communities in Lee County average about 4.4 hours. Nursing staff turnover over the past year was about 37%.

The community is located in Lee County, IA.

Medicare five-star ratings

  • Overall 3/5
  • Health inspections 3/5
  • Staffing 3/5
  • Quality measures 2/5

Source: Centers for Medicare & Medicaid Services (CMS) Care Compare. Ratings apply to Medicare/Medicaid-certified nursing homes and are updated by CMS monthly.

Mississippi Valley offers nursing home care and senior living.

Facility details

  • Organization type For profit - Partnership
  • Beds / units 83
  • Occupancy 69%
  • Nursing hours per resident/day 5.7
  • Annual staff turnover 37%
  • Last health inspection April 2025

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